Can You Contract STDs from Massage and Self-Stimulation? - Urology

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Sexually transmitted infections (STIs) transmission


I recently had a Thai massage where the therapist accidentally touched the sides of my groin and my scrotum.
During the session, I masturbated to ejaculation and then wiped myself with a towel (the therapist did not have any visible signs of genital warts).
Am I at risk of contracting genital warts from masturbating? The therapist did not touch my penis, and I wiped myself with a towel; could I still be at risk of infection?

Aguang, 30~39 year old female. Ask Date: 2019/08/13

Dr. Du Shixi reply Urology


Hello: If both individuals do not have genital warts, then there is no risk of transmitting them.
As for the possibility of transmitting genital warts through towels, it is contingent upon a person with genital warts using the towel and not properly disinfecting it afterward, but this risk is significantly lower than that associated with sexual intercourse.
Wishing you good health.
You may also refer to the following assessment of sexually transmitted infection risks.
Wishing you good health.
No risk - masturbation Low risk - mutual masturbation, light kissing, mutual rubbing, sexual intercourse with condom Medium risk - deep kissing, oral sex, withdrawal High risk - no protective measures, resulting in cuts or bleeding.

Reply Date: 2019/08/13

More Info


When it comes to the transmission of sexually transmitted diseases (STDs), understanding the routes of infection is crucial. STDs are primarily spread through direct sexual contact, which includes vaginal, anal, and oral sex. However, certain STDs can also be transmitted through skin-to-skin contact, particularly those that affect the genital area, such as human papillomavirus (HPV), which can cause genital warts (often referred to colloquially as "cauliflower" due to its appearance).

In your scenario, you mentioned that during a Thai massage, the therapist's hands made contact with your groin area and scrotum, and you subsequently engaged in self-stimulation. The key points to consider regarding the risk of contracting an STD, such as HPV, in this situation are as follows:
1. Direct Contact: If the massage therapist had any active lesions or warts on their hands, there could be a risk of transmission through direct contact. However, you indicated that the therapist did not have any visible signs of infection.

2. Self-Stimulation: Engaging in self-stimulation after the massage does not inherently increase your risk of contracting an STD unless there was a transfer of infectious material from the therapist's hands to your genitals. If the therapist's hands were clean and free of any infectious agents, the risk remains low.

3. Use of Towels: You mentioned using a towel to wipe yourself after self-stimulation. If the towel was clean and did not come into contact with any infectious bodily fluids, it should not pose a risk. However, if the towel had been contaminated with infectious material, there could be a theoretical risk, although this is generally considered low for most STDs.

4. HPV Transmission: HPV is particularly notable for its ability to spread through skin-to-skin contact, even in the absence of visible symptoms. If the therapist had HPV and there was any contact with infected skin, there could be a risk. However, the likelihood of transmission in your described scenario remains low, especially since there were no visible signs of infection.

5. General Precautions: To minimize the risk of STDs in the future, consider using barriers such as condoms during sexual activities, including self-stimulation if there is any concern about contact with potentially infectious materials. Regular screenings for STDs are also recommended, especially if you have multiple sexual partners or engage in activities that may increase your risk.

In conclusion, based on the information provided, the risk of contracting an STD, including HPV, from the described massage and subsequent self-stimulation appears to be low, especially given that the therapist had no visible signs of infection. However, if you have any concerns or experience symptoms such as unusual discharge, sores, or warts, it is advisable to consult a healthcare professional for evaluation and potential testing. Regular health check-ups and open communication with sexual partners about STDs are essential components of maintaining sexual health.

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